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Quadricuspid aortic valve associated with severe aortic regurgitation
Japanese Circulation Journal
|February 1, 1985
Summary
A rare quadricuspid aortic valve caused severe aortic regurgitation in a 57-year-old man. Successful aortic valve replacement was performed, with the resected valve showing fibrotic thickening and calcification.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Severe aortic regurgitation necessitates timely intervention.
- Congenital aortic valve anomalies, such as quadricuspid aortic valve, can lead to significant valvular dysfunction.
Observation:
- A 57-year-old male presented with severe aortic regurgitation.
- Diagnostic evaluation revealed a quadricuspid aortic valve, an uncommon cardiac anomaly.
Findings:
- Aortic valve replacement was successfully performed using a St. Jude Medical prosthetic valve.
- Histological examination of the resected native valve cusps demonstrated fibrotic thickening and calcification.
Implications:
- This case highlights the importance of recognizing and managing quadricuspid aortic valve in patients with aortic regurgitation.
- Successful surgical outcomes can be achieved with prosthetic valve replacement.
- Understanding the pathological changes in quadricuspid valves aids in surgical planning and prognosis.